NPI: 1538150743 · COROZAL, PR 00783 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,325 | $110K |
| 2019 | 4,120 | $91K |
| 2020 | 3,461 | $122K |
| 2021 | 5,249 | $175K |
| 2022 | 4,700 | $163K |
| 2023 | 4,021 | $182K |
| 2024 | 2,780 | $122K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 7,678 | 6,823 | $287K | |
| 92015 | 12,356 | 10,866 | $252K | |
| 92012 | 4,624 | 4,003 | $213K | |
| V2020 | Vision svcs frames purchases | 3,499 | 2,863 | $213K |
| 92004 | 32 | 32 | $121.23 | |
| V2744 | Tint photochromatic lens/es | 481 | 481 | $0.00 |
| V2781 | Progressive lens per lens | 330 | 329 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 84 | 84 | $0.00 |
| V2025 | Eyeglasses delux frames | 559 | 558 | $0.00 |
| V2750 | Anti-reflective coating | 13 | 13 | $0.00 |